Individual provider Active NPI

Kendall Marie Beerer

  • Family Nurse Practitioner
  • Washington, NJ
National Provider Identifier
1972197689
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01226400 Issued in NJ
Practice address
279 NJ 31
Washington, NJ 07882
Phone
(484) 503-7546
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01226400 NJ
Nurse Practitioner 363L00000X SP024161 PA
Family Nurse Practitioner 363LF0000X SP024161 PA
Family Nurse Practitioner 363LF0000X 26NJ01226400 NJ Primary

Addresses

Primary practice location

279 NJ 31
Washington, NJ 07882

Mailing address

279 NJ 31
Washington, NJ 07882
Phone (484) 503-7546

Other practice location 1

125 Smithfield Ln
East Stroudsburg, PA 18301-8715
Phone (484) 503-7546

Other practice location 2

1600 St Lukes Blvd
Easton, PA 18045-5671
Phone (484) 503-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230315001899 PA Practitioner - Nurse Practitioner 9931573805 Reassigns benefits to 3 organizations
I20241126003110 NJ Practitioner - Nurse Practitioner 9931573805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
St Lukes Warren Physician Group PCGroup PAC ID 9739093675, 374 clinicians

Practice addresses (Care Compare)

125 Smithfield LN
FL 2
East Stroudsburg, PA 18301-8715
Phone (484) 526-7035

1600 St Lukes Blvd
Easton, PA 18045-5671

279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01226400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Acute Care Physicians, PC CurrentSince Jan 19, 2023 Accepting new patients
Jefferson University Physicians CurrentSince Jan 19, 2023 Accepting new patients
St. Luke'S Physician Group, Inc CurrentSince Dec 4, 2023 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Jan 19, 2023 Accepting new patients
Jefferson Acute Care Physicians, PC Current Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Dec 4, 2023 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Oct 1, 2024 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Oct 1, 2024 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients

Locations

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

5415 Lanark Rd
Center Valley, PA 18034
Phone (484) 526-1260

125 Smithfield Ln
East Stroudsburg, PA 18301
Phone (272) 212-3872

1600 St Lukes Blvd
Ste 100
Easton, PA 18045
Phone (484) 526-1260

1600 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-4400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

2451 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-8050

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

2301 S Broad St
Fl 1
Philadelphia, PA 19148
Phone (215) 952-9136

700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300

Interoperability endpoints

  • Direct secure messaging: kendall.beerer@slpg.direct-sluhn.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1972197689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 NJ 31",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "07882",
            "telephone_number": "484-503-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 NJ 31",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "07882",
            "telephone_number": "484-503-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Smithfield Ln",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183018715",
            "country_code": "US",
            "telephone_number": "484-503-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 St Lukes Blvd",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180455671",
            "country_code": "US",
            "telephone_number": "484-503-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEERER",
        "first_name": "KENDALL",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01226400",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP024161",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024161",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01226400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NJ

Sources for this page

Verify at the official NPI Registry.